在急救中心开展多发伤一体化救治分析

目的 探讨提高多发伤救治成功率的措施。方法 回顾性总结2002年6月～2003年6月间中山市急救中心开展多发伤救治的效果，分析多发伤一体化救治的模式和关键点。结果 共收治135例，抢救成功107例，成功率79．3％；死亡28例，死亡率20．7％。结论 (1)住急救中心实施多发伤一体化救治是提高其成功率的有效途径，也是多发伤救治的发展趋势，(2)在急救中心实施多发伤一体化救治的模式：急救中心设立创伤中心、建立成套的创伤急救体系，培养高素质专业人员．多发伤的诊治由急救中心医师实施或组织实施。(3)严重多发伤救治的关键点：抓好院前、院内急救——抢救生命；开展急诊手术——尽早修复损伤器官，消除致死致残因素；重视重症监护及治疗——进一步治疗原发损伤，保护各脏器功能，促进机体恢复，防止并发症。

Discussion on integrated treatment of multiple trauma in the emergency center

Objective To explore the effective countermeasures for treatment of multiple trauma. Methods The clinical data of 135 cases with multiple trauma admitted into the emergency center of Zhongshan City from June 2002 to June 2003 were applied to study the mode and the key point of integrated treatment for multiple trauma. Results Of 135 cases,107 survived with a success rate of 79.3% and 28 died with a mortality of 20.7%. Conclusions (1)The integrated treatment in the emergency center is an effective way to improve the curative rate of multiple trauma as well as a development trend in treatment of multiple trauma. (2) The mode to make integrated diagnosis and treatment includes the following parts: set up wound center in emergency center,build a united rescue system and train high quality professional personnel. The diagnosis and treatment of multiple trauma must be organized and carried out by doctors in the emergency center. (3)The key treatment points for serious multiple trauma include firstly,active pre-hospital medical care and in-hospital medical care to save the lives;secondly,timely surgical operation to repair the damaged organ and eliminate the factors of lethality and cripples;and thirdly,necessary intensive care to treat the original damage further,protect various function of organs,promote recovery of body and prevent the complications.